Influence of cooling duration on efficacy in cardiac arrest patients (ICECAP)
Neurological death and disability are common outcomes in survivors of cardiac arrest. Therapeutic cooling of comatose patients resuscitated from shockable rhythms markedly increases the rate of good neurological outcomes, but poor outcomes still occur in as many as 50%. The benefit of cooling in those resuscitated from asystole and pulseless electrical activity has not been shown in a randomized study.
Ohio CARES: The Ohio Cardiac Arrest Registry to Enhance Survival
Founded in 2016, Ohio CARES is a nonprofit statewide organization that enables the collection and analysis of data on patients who suffer an out-of-hospital cardiac arrest. This information is continuously collected to provide communities, EMS systems and hospitals with a simple, secure, confidential and efficient method to track key performance and outcome measures on these critically ill patients. Data metrics include detailed information on resuscitation performance, such as bystander CPR rate, bystander AED use, EMS response times, survival-to-hospital discharge and neurological recovery of the patient. The ability to measure performance and outcomes is crucial in determining whether local community interventions are effective. Ohio CARES helps communities identify their weak links in the chain of survival and thereby focus on strengthening them.
Ohio CARES enables every community, EMS system and hospital in Ohio to participate in CARES. For many communities, involvement in CARES is cost-prohibitive. However, an investment in the statewide Ohio CARES Program distributes the cost across many agencies and systems. This enables the enhancement of care throughout the state of Ohio at a fraction of the total cost to individual entities. In addition, the data generated by Ohio CARES results in an important storehouse of cardiac arrest data that enables local and statewide interventions to improve clinical care.
Heartmobile Project
The Ohio State Wexner Medical Center is a pioneer in developing emergency medical services. In 1969, James Warren, MD, an Ohio State physician, initiated the Heartmobile project in cooperation with the City of Columbus Division of Fire. Dr. Warren demonstrated that patients could be successfully resuscitated from cardiac arrest in an out-of-hospital setting. He went on to demonstrate that firefighters could be trained in advanced resuscitation techniques.
The Center for EMS is dedicated to maintaining our ties to this important piece of Columbus and national history, and is a major contributor to the Heartmobile project, focused on the restoration of this landmark.
Learn more about the Heartmobile project
Pediatric Prehospital Airway Resuscitation Trial (Pedi-PART)
We aim to answer the signature question of paramedic care; “What is the best way to manage the prehospital airway in critically ill children?” Cardiac arrest, respiratory failure and major trauma are devastating critical conditions in children.
Learn about the Pediatric Prehospital Airway Resuscitation Trial
Longitudinal Changes in Emergency Medical Services Advanced Airway Management
This Ohio State study looks at how emergency medical services (EMS) in the United States manage their patients’ airways and how it’s changing. Airway management is used in life-threatening conditions such as cardiac arrest, trauma and respiratory failure.
Learn about the study highlighting how paramedics help people breathe
OURA Research
The Realtime EMS Tracking (Rest) Study- The purpose of this study is to understand the amount and nature of sleep disruption experienced by EMS personnel at work, how this affects their cognitive performance and how they recover outside of work.
Purpose: The purpose of this study is to understand the amount and nature of sleep disruption experienced by EMS personnel at work, how this effects their cognitive performance, and how they recover outside of work.
Procedures: You will be asked to wear an Oura ring fitness tracker, as continuously as you are able to, for 6 weeks to monitor your sleep and heart rate. Twice per day, you will complete a 5-minute cognitive assessment and questionnaire about the day’s activities. At the end of the study, you will complete a 30-minute exit interview. To compensate your time, if you wear the ring for 20 out of the 42 nights in the study, you may keep the Oura ring.
Eligibility
- Full-time EMS personnel responding to EMS calls at a EMS/Fire agency that utilizes a 24/48 hour shift system.
- Willing to wear the Oura ring at work and at home during the 6-week study period.
- Willing to use your personal phone and download study apps
Next Steps: If you are interested and meet the eligibility criteria, please contact our research team to schedule an introduction appointment. We will send you a consent form before the appointment for your review. Any questions can be answered by email.
Contact Information:
PI: Henry Wang
Contact email: naro06@osumc.edu